Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $164.05 / $1,247.24	Facility		$107.90	$164.05	$1,247.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $159.31 / $255.07	Professional		$121.92	$159.31	$255.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.23 / $334.04 / $501.55	Professional		$267.23	$334.04	$501.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.76 / $246.74 / $411.04	Facility		$157.76	$246.74	$411.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $431.48 / $1,322.40	Professional		$184.34	$431.48	$1,322.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $319.54 / $455.68	Facility		$201.04	$319.54	$455.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.24 / $319.54 / $455.68	Professional		$256.24	$319.54	$455.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $255.94 / $338.50	Professional		$177.00	$255.94	$338.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $307.24 / $468.75	Professional		$184.34	$307.24	$468.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $283.10 / $412.70	Professional		$231.40	$283.10	$412.70